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NPI Code Detail

MEDICARE: TINA PATEL

MEDICARE: TINA PATEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist82184CA

General Provider Information

NPI Number : 1841810207
Entity Type Code : Individual
Provider Name (Legal Business Name) : TINA PATEL
Provider Business Mailing Address
First Line : 1763 SANTA RITA RD
Second Line :
City : PLEASANTON
State : CA
Zip : 94566
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1763 SANTA RITA RD
Second Line :
City : PLEASANTON
State : CA
Zip : 94566-5657
Country : US
Telephone Number : 925-426-1562
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2020
Last Update Date : 04/25/2020

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Directions to “ TINA PATEL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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